2027 Cookie Caregiver Permission & Financial Responsibility

Girl Scout Cookie Program Caregiver Permission & Financial Responsibility

This form is valid for the 2027 season of the Girl Scout Cookie Program. Please fill out once per Girl Scout. Do not submit one form for multiple Girl Scouts.
GSUSA Guidance for Troop Proceeds and Girl Rewards
- All rewards earned through product program activities must support Girl Scout program experiences, such as camp, travel, or program events. Rewards may not be used for scholarships or financial credit toward outside organizations.
- Rewards are based on sales ranges, not a dollar-for-dollar calculation.
- Proceeds may only be used for Girl Scout troop or group activities.
- Individual cash accounts may not be kept for or distributed to Girl Scouts within a troop.
- Proceeds stay with the troop and do not transfer with a Girl Scout if she leaves the troop or moves to a different one.
Girl Scout's Name

First NameLast Name
Please submit one form per Girl Scout. Do not put multiple names in the Name Field. You will be prompted after submission to complete another form for an additional Girl Scout if needed.
Troop Number
By checking each box, you acknowledge each statement as it relates to your Girl Scout's participation in the 2027 Girl Scout Cookie Program Program
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email (Must match myGS account)
example@example.com
By typing my name below, I certify that I have read and agree to the permission and responsibilities as outlined in this form

First NameLast Name
Additional Proceeds Opt-Out for Product Program Rewards
Girl Scouts can earn rewards for selling products through order taking and online sales. With Individual Reward items, each girl earns the rewards that coincide with the level of product sold. Individual reward items are cumulative for all reward levels. Girl Scouts can work towards Individual Reward items or can opt to earn an additional Proceeds. Each troop must decide, by unanimous vote, on their plan before the start of Girl Scout Cookie Program activities. To qualify, each Girl Scout and Caregiver must acknowledge acceptance of the Additional Proceeds opt-out. Troops choosing Additional Proceeds qualify for all patches available.
Your troop has the option to opt out of rewards in exchange for additional $0.05 per package. Please vote on whether or not you would like to opt out of rewards in exchange for these extra proceeds.
Agreement
Should be Empty:

Girl Scout Cookie Program Caregiver Permission & Financial Responsibility

Additional Proceeds Opt-Out for Product Program Rewards